Archive : Volume - 6, Issue - 7, Month - July
1 Displaced Midclavicular Fractures In Adults – Which Is Better? Titaniun Elastic Nail Or 1/3rd Tubular Plate
- Bipul Borthakur* ,
- DHRUBA JYOTI NATH
- Abstract
- Show Article
- Download : 218
- Google Citation
- Journal DOI : 10.46624/bjmhr.2019.v6.i07.005
- Certificate
Abstract : BACKGROUND- Clavicle fractures were traditionally treated nonoperatively, but due to higher rates of delayed union, non-union, symptomatic, malunion cosmetic deformity and other complications there is an increasing trend for operative management. Plating and intramedullary nailing are the most popular surgical options Functional results after both the techniques proved to be superior compared with conservative treatment of DMCF in some recently reported prospective randomized studies. The aim of this study was to compare the clinical result ,functional outcome along with complications rate in minimally invasive antegrade TEN for the treatment of DMCF with that of 1/3rd tubular plating anteriorly.
MATERIALS AND METHODS
Prospective study was conducted between 2009 and 2016 in which 66 patients (49males and 17 females) with ota type b DMCFs underwent surgical fixation with antegrade TENs and 1/3rd tubular plate.They were randomized in two groups-one with TENS & other with plate fixation with 1/3rd tubular plate. Evaluation done by constant-murley shoulder outcome and dash scores at 6, 12 weeks, 3, 6, and 12 months to determine outcomes.
RESULTS
During analysis we have 34 pts in TENS group & 32 pts in plate group.There was no significant difference in union time,CONSTANT & DASH score. Lesser operating time,less blood loss,easier implant removal & minimal complication with no any case of deep infection seen in TENS group but shortening[>0.5 cm ]was noted in few cases.In plate group there were no major complications, only minor complications of superficial infection, deep infection,hypertrophied scarring without pain,limited shoulder motion with no case of shortening.
CONCLUSION
There is no significant difference regarding union [clinical and radiological] and stability.However TENS is preferable for treating simple displaced fracture of DMCFs in view of lesser morbidity,better cosmetic result,easier implant removal.Fixation with plate seems to be little more stable & its the implant of choice in comminuted fracture
.
Keyword : Clavicle TENS 1/3rd tubular plate displaced
Login
Loading....
Author Guideline
Copyright Form
News Update
Archive List
- Volume-11
- Volume-10
- January 2023 Issue 1
- January 2023 Issue 1
- February 2023 Issue 2
- March 2023 Issue 3
- March 2023 Issue 3
- April 2023 Issue 4
- April 2023 Issue 4
- May 2023 Issue 5
- May 2023 Issue 5
- May 2023 Issue 5
- June 2023 Issue 6
- June 2023 Issue 6
- July 2023 Issue 7
- July 2023 Issue 7
- August 2023 Issue 8
- August 2023 Issue 8
- September 2023 Issue 9
- October 2023 Issue 10
- November 2023 Issue 11
- December 2023 Issue 12
- Volume-9
- January 2022 Issue 1
- February 2022 Issue 2
- March 2022 Issue 3
- April 2022 Issue 4
- May 2022 Issue 5
- June 2022 Issue 6
- July 2022 Issue 7
- July 2022 Issue 7
- July 2022 Issue 7
- July 2022 Issue 7
- August 2022 Issue 8
- September 2022 Issue 9
- October 2022 Issue 10
- October 2022 Issue 10
- November 2022 Issue 11
- November 2022 Issue 11
- November 2022 Issue 11
- December 2022 Issue 12
- Volume-8
- January 2021 Issue 1
- February 2021 Issue 2
- February 2021 Issue 2
- March 2021 Issue 3
- April 2021 Issue 4
- May 2021 Issue 5
- June 2021 Issue 6
- June 2021 Issue 6
- June 2021 Issue 6
- July 2021 Issue 7
- August 2021 Issue 8
- September 2021 Issue 9
- October 2021 Issue 10
- November 2021 Issue 11
- December 2021 Issue 12
- Volume-7
- January 2020 Issue 1
- January 2020 Issue 1
- February 2020 Issue 2
- March 2020 Issue 3
- March 2020 Issue 3
- March 2020 Issue 3
- April 2020 Issue 4
- April 2020 Issue 4
- May 2020 Issue 5
- May 2020 Issue 5
- May 2020 Issue 5
- June 2020 Issue 6
- June 2020 Issue 6
- June 2020 Issue 6
- July 2020 Issue 7
- August 2020 Issue 8
- September 2020 Issue 9
- October 2020 Issue 10
- November 2020 Issue 11
- December 2020 Issue 12
- December 2020 Issue 12
- Volume-6
- January 2019 Issue 1
- February 2019 Issue 2
- March 2019 Issue 3
- April 2019 Issue 4
- April 2019 Issue 4
- May 2019 Issue 5
- May 2019 Issue 5
- June 2019 Issue 6
- June 2019 Issue 6
- July 2019 Issue 7
- July 2019 Issue 7
- August 2019 Issue 8
- September 2019 Issue 9
- September 2019 Issue 9
- September 2019 Issue 9
- October 2019 Issue 10
- November 2019 Issue 11
- November 2019 Issue 11
- November 2019 Issue 11
- December 2019 Issue 12
- Volume-5
- January 2018 Issue 1
- January 2018 Issue 1
- February 2018 Issue 2
- March 2018 Issue 3
- April 2018 Issue 4
- May 2018 Issue 5
- June 2018 Issue 6
- July 2018 Issue 7
- August 2018 Issue 8
- September 2018 Issue 9
- September 2018 Issue 9
- October 2018 Issue 10
- October 2018 Issue 10
- November 2018 Issue 11
- December 2018 Issue 12
- December 2018 Issue 12
- Volume-4
- January 2017 Issue 1
- February 2017 Issue 2
- February 2017 Issue 2
- March 2017 Issue 3
- April 2017 Issue 4
- April 2017 Issue 4
- May 2017 Issue 5
- June 2017 Issue 6
- June 2017 Issue 6
- June 2017 Issue 6
- June 2017 Issue 6
- July 2017 Issue 7
- August 2017 Issue 8
- August 2017 Issue 8
- September 2017 Issue 9
- October 2017 Issue 10
- November 2017 Issue 11
- December 2017 Issue 12
- December 2017 Issue 12
- December 2017 Issue 12
- Volume-3
- January 2016 Issue 1
- February 2016 Issue 2
- March 2016 Issue 3
- April 2016 Issue 4
- May 2016 Issue 5
- June 2016 Issue 6
- June 2016 Issue 6
- July 2016 Issue 7
- July 2016 Issue 7
- July 2016 Issue 7
- August 2016 Issue 8
- September 2016 Issue 9
- October 2016 Issue 10
- October 2016 Issue 10
- November 2016 Issue 11
- November 2016 Issue 11
- December 2016 Issue 12
- Volume-2
- Volume-1
Statastics
Download of Articles
115,509